循证护理预防白血病经外周静脉穿刺置入中心静脉导管后持续渗血的效果  

Effect of evidence-based nursing on the prevention of durative staxis after peripherally inserted central catheter in leukemia

作　　者：侯妙婷 冯雅芳[2] 陈荣伴[1] 谭美仲[1] 陈健清[1] HOU Miaoting;FENG Yafang;CHEN Rongban;TAN Meizhong;CHEN Jianqing(Department of Hematology,Jiangmen Central Hospital,Guangdong Province,Jiangmen 529000,China;Jiangmen Central Blood Station,Guangdong Province,Jiangmen 529000,China)

机构地区：[1]广东省江门市中心医院血液内科,广东江门529000 [2]广东省江门市中心血站,广东江门529000

出　　处：《中国当代医药》2022年第35期185-188,共4页China Modern Medicine

基　　金：广东省江门市科技计划项目(2021YL01093)。

摘　　要：目的探讨循证护理预防白血病经外周静脉穿刺置入中心静脉导管(PICC)后持续渗血的效果。方法选取2021年3月至2022年4月在江门市中心医院住院的60例白血病PICC患者作为研究对象,采用电脑随机分组方法将其分为观察组(30例)与对照组(30例)。对照组采用一般性延续性护理方法,观察组在对照组的基础上采用循证护理。比较两组患者干预前后的生活质量评分、负面情绪评分以及置管渗血情况。结果干预前两组生活质量评分表中的生活能力、日常生活、健康感觉、社会支持评分比较,差异无统计学意义(P>0.05);两组干预后生活质量评分表中的生活能力、日常生活、健康感觉、社会支持评分均高于干预前,差异有统计学意义(P<0.05);观察组干预后生活质量评分表中的生活能力、日常生活、健康感觉、社会支持评分均高于对照组,差异有统计学意义(P<0.05)。干预前两组负面情绪评分中的焦虑、抑郁评分比较,差异无统计学意义(P>0.05);两组干预后负面情绪评分中的焦虑、抑郁评分均低于同组干预前,差异有统计学意义(P<0.05);观察组干预后负面情绪评分中的焦虑、抑郁评分低于对照组,差异有统计学意义(P<0.05)。观察组干预后的置管后渗血情况发生率低于对照组,差异有统计学意义(P<0.05)。结论白血病PICC穿刺置管后应用循证护理可以有效改善患者的生活质量水平,调节患者负面情绪,减少渗血情况的发生。Objective To explore the effects of evidence-based nursing on preventing the durative staxis after peripherally inserted central catheter(PICC)in patients with leukemia.Methods A total of 60 patients with leukemia undergoing PICC who were hospitalized in Jiangmen Central Hospital from March 2021 to April 2022 were selected as the research subjects.They were divided into the observation group(30 cases)and the control group(30 cases)by the computer random grouping method.The control group adopted general continuous nursing method,while the observation group received evidence-based nursing on the basis of the control group.The quality of life scores,negative emotions scores and catheterization staxis were compared between the two groups of patients before and after intervention.Results There were no statistical differences in the scores of living ability,daily life,health perception and social support of quality of life scale between the two groups before intervention(P>0.05).The scores of living ability,daily life,health perception and social support of quality of life scale of the two groups after intervention were higher than those before intervention,the differences were statistically significant(P<0.05).The scores of living ability,daily life,health perception and social support of quality of life scale of the observation group after intervention were higher than those of the control group,the differences were statistically significant(P<0.05).Before intervention,There were no statistical differences in the scores of negative emotions such as anxiety and depression between the two groups(P>0.05).The scores of negative emotions such as anxiety and depression in the two groups after intervention were lower than those before intervention,the differences were statistically significant(P<0.05).The scores of negative emotions such as anxiety and depression of the observation group after intervention were lower than those of the control group,the differences were statistically significant(P<0.05).The incidence of stax

关 键 词：循证护理 预防 白血病 经外周静脉穿刺置入中心静脉导管 持续渗血 

分 类 号：R473.5[医药卫生—护理学]